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Tillery Dental Clinics, P.A.

General Practice Dentistry in Laurel, MS · enumerated 2006 · authorized official Douglas Tillery, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376656041

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Registry record

Entity type Organization (Type 2)
Legal business name Tillery Dental Clinics, P.A.
Practice address 1508 W 10th St, Laurel, MS, 39440
Phone (601) 428-6093
Fax (601) 428-6096
Enumeration date Aug 16, 2006
Last updated in NPPES Jan 3, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License MS133268 (MS) Primary

Authorized official

Name Douglas Tillery
Title Owner
Phone (601) 428-6093

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-01-03. Verify at npiregistry.cms.hhs.gov.
Where is Tillery Dental Clinics, P.A. located?
The practice location on file with NPPES is in Laurel, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-03.